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KNOWvember participation credit

"KNOWvember" is U.S. Pain Foundation's annual education campaign that highlights a specific treatment modality. This year, if you participate in at least two of the three KNOWvember events going on during the month, you can receive a free gift: a U.S. Pain-themed face mask!

To receive your mask, please fill out this form by Nov. 30. We recommend not submitting this form until after the last event (on Nov. 19), and you only need to complete the form once. We will send out a reminder before the deadline.

How to receive credit:
1. To receive credit for either webinar event, you must have registered and attended the event via Zoom (not Facebook Live). 
2. To receive credit for the Twitter chat, you must have retweeted or responded to one of the questions (make sure to use the hashtag #PainChat!). Screens are encouraged to help us verify your participation!

Rules:
1. Masks are available on a first-come, first-served basis, while supplies last.
2. Masks may only be shipped within the United States.
3. One face mask is allowed per household.



 
1. Please provide your contact information.
This question requires a valid email address.
2. I confirm I understand the rules:

1. To receive credit for either webinar event, you must have registered and attended the event via Zoom (not Facebook Live). 
2. To receive credit for the Twitter chat, you must have retweeted or responded to one of the questions.
3. Masks are available on a first-come, first-served basis, while supplies last.
4. Masks may only be shipped within the United States.
5. One face mask is allowed per household.
*This question is required.
3. Did you attend the Zoom webinar, "From TENS to SCS: What type of neuromodulation is right for me?"  (Note: we will use the email address you registered with to confirm you attended.) *This question is required.
4. Did you attend the Zoom webinar, "My experience with implanted pain relief"? (Note: we will use the email address you registered with to confirm you attended.) *This question is required.
6. If you participated in the Twitter chat, please take a screenshot of your participation and upload it here.
7. Please provide your full shipping address.
8. Would you like to join our mailing list? *This question is required.